FIELD OF THE INVENTION
[0001] The invention relates generally to a method for coating a stent or a medical device
having a tubular wall. More particularly, the invention is directed to a method for
electrostatic spray-coating a stent or a medical device having a tubular wall.
BACKGROUND OF THE INVENTION
[0002] Medical devices, such as implantable stents, have been coated with a coating comprising
a biocompatible polymer to reduce adverse physiological reactions, such as restenosis,
caused by uncoated surfaces of medical devices inserted or implanted in patient's
body. Also, the coating can incorporate a biologically active material. For example,
implanted stents have been used to carry medicinal agents, such as thrombolytic agents.
See,
U.S. Patent No. 6,099,562 to Ding et al., U.S. Patent No. 5,879,697 to Ding et al., Pinchuk to U.S. Patent No. 5,092,877,
U.S. Patent No. 5,304,121 to Sahatjian.
[0003] Such coatings have been applied to the surface of a medical device by various methods,
e.g., spray coating and dip coating. When a tubular wall, such as a stent, having
openings therein is coated by conventional methods, it has been extremely difficult
to coat only the inner surface of a tubular wall without coating the outer surface
and vice versa. Also, the ratio of coating thickness placed on the inner surface of
the tubular wall and placed on the outer surface of the tubular wall created by a
conventional method is fixed and cannot be varied. For example, when a spray coating
method is employed to coat such a tubular wall, the ratio of coating thickness depends
on the configuration of the tubular wall, specifically, the size and shape of the
openings therein. Accordingly, this ratio cannot be controlled. When a dip coating
method is employed, the thickness of the coating on the inner surface and the outer
surface is the same and cannot be varied. Also, conventional coating methods lack
the ability to coat a tubular wall so that the coating thickness along the longitudinal
axis of the tubular wall is varied.
[0004] Furthermore, in some medical devices having a tubular wall, all of the surfaces of
the medical device or portions thereof may not need to be coated, or may not need
to be coated with a coating comprising a biologically active material. For instance,
the inner surface of a stent does not have to be coated with a coating containing
a biologically active material when the biologically active material is intended to
be delivered to a body lumen wall, which only directly contacts the outer surface
of the stent. The inner surface of the stent does not come in direct contact with
the body lumen wall and does not apply the biologically active material to the body
lumen wall. On the other hand, if the biologically active material is intended to
be delivered to a body fluid rather than a body lumen wall, then the coating containing
the biologically active material should be placed on the inner surface of the stent
wall but is not needed on the outer surface.
[0005] Also, in some instances, a release profile of a biologically active material can
be optimized by varying coating thickness along longitudinal axis of the tubular wall.
Specifically, in some stents, the amount of a coating containing a biologically active
material may be preferably increased at the end sections of the tubular wall or stents
as compared to the middle portion to reduce a risk of restenosis caused at the end
sections.
[0006] In addition, coatings on different portions of the tubular wall may require different
physical properties. For example, an expandable stent must be put in its unexpanded
state or "crimped" before it is delivered to a body lumen. Thus, the coating on portions
of the stent which contact each other in the stent's crimping state must not stick
to each other and cause damage. In the case of a balloon expandable stent, the inner
surface of the stent that contacts the balloon must not stick to the balloon during
expansion. On the other hand, it is desirable to provide a relatively soft or "sticky"
coating on the outer surface because it comes in direct contact with a body lumen
wall.
[0007] Accordingly, there is a need for a method of coating a medical device comprising
a tubular wall, such as a stent, that can control the thickness of coating on inner
surface and outer surface. Furthermore, there is also a need for a method of coating
a tubular wall, such as a stent, that can vary the thickness of coating along the
longitudinal axis of the structure.
SUMMARY OF THE INVENTION
[0008] This and other objectives are accomplished by the present invention. To achieve these
objectives, we have developed a method which is efficient to realize a controlled
thickness of a coating on at least a portion of a medical device comprising a tubular
wall, such as a stent, having an inner surface, an outer surface and openings therein.
Specifically, in the method of the present invention, the tubular wall is grounded
or electrically charged, and a conductive core wire is located axially through the
tubular wall. A potential is applied to the conductive core wire to impart an electrical
charge to the conductive core wire. The tubular wall is exposed to an electrically
charged coating formulation, and the charged coating formulation is deposited onto
a portion of the tubular wall to form a coating on the tubular wall. In one embodiment,
the tubular wall is grounded, and the conductive core wire and the coating formulation
has the same electrical charge. In another embodiment, the tubular wall is grounded,
and the conductive core wire and the coating formulation has opposite electrical charges.
In yet another embodiment, the tubular wall and the coating formulation has the same
electrical charge, and the conductive core wire has an electrical charge opposite
that of the tubular wall and the coating formulation. Alternatively, the potential
applied to the conductive core wire may be pulsated to cyclically impart a positive
electrical charge to the conductive core wire followed by a negative electrical charge.
[0009] In an embodiment, a core wire comprising a resistor material is located axially through
the tubular wall instead of the conductive core wire, and a current is directed in
the core wire. Two resistor wires may be located axially through the tubular wall.
[0010] Furthermore, in the method of the present invention, the core wire can be kept free
of the coating formulation by, for example, using two bobbins, wherein one is feeding
the core wire through the tubular wall and the other is winding the core wire. Also,
in the method of the present invention, a pair of deflector plates can be used to
direct the charged coating formulation.
BRIEF DESCRIPTION OF THE DRAWINGS
[0011]
Fig. 1 depicts a perspective view of a spraying nozzle, particles or droplets of charged
coating formulation, a stent and a core wire used in the method of the present invention.
Figs. 2-4 are illustrative cross-sectional views of a stent and a core wire along with a spray
nozzle and representative routes of charged coating formulation in embodiments of
the method of the present invention.
Fig. 5 is a graph showing a cyclic change of the electrical potential applied to the core
wire in an embodiment of the method of the present invention.
Figs. 6A and 6B are illustrative cross-sectional views of a stent and a core wire along with a spray
nozzle and representative routes of the charged coating formulation for two different
states in the embodiment of the method of the present invention shown in Fig. 5.
Fig. 7 is an illustrative view of a spraying nozzle, a stent, a core wire, a pair of deflector
plates, and representative routes of sprayed charged coating formulation, that are
arranged for another embodiment of the method of the present invention.
Fig. 8 is an illustrative view of a spraying nozzle, a stent, a core wire, a pair
of bobbins, and representative routes of sprayed charged coating formulation in yet
another embodiment of the method of the present invention.
DESCRIPTION OF THE PREFERRED EMBODIMENTS
[0012] In the method of the present invention, the amount of a coating formulation that
is applied to a surface of a stent or tubular wall of a medical device is adjusted
by employing the principles of electro-assisted spraying and a core wire located through
the stent or tubular wall. The term "tubular wall" refers to a wall having a certain
thickness configured in a shape of a tube or tubular structure. Such tubular structure
may have a cross-section other than circle, such as an oval or square. In conventional
electro-assisted spraying techniques, an electrically charged coating formulation
is sprayed or applied to the surface of the device to be coated. The device is usually
grounded or negatively charged. Since the coating formulation is a poor conductor,
part of the electrical charge of the coating formulation is unable to escape. Therefore,
those portions of the device surface that are coated with the coating formulation
will have a higher potential than uncoated regions, and new particles or droplets
of charged coating formulation applied to the device will be deflected to those uncoated
regions of the device surface. In such method, the amount of coating formulation applied
to the surface of the device tends to be uniformly spread over the entire surface.
In contrast as explained further below, by locating an electrically charged core wire
through the stent or tubular wall of the device, the amount of coating formulation
applied on different surfaces or parts of a surface of the device can be varied.
[0013] In one embodiment of the present invention, the coating formulation is in a form
of droplets. In other embodiments of the present invention, the coating formulation
is in a form of dry or wet powder-particles.
[0014] Referring to Fig.1, which depicts a perspective view of an arrangement for the method
of the present invention wherein a conductive core wire 12 is located axially through
a stent 10. Preferably, the core wire is located through the geometric center of the
stent. A spray nozzle 16 is placed in proximity of the stent 10 and an electrically
charged coating formulation 14 is sprayed to the stent 10.
[0015] In an embodiment shown in Fig. 2, a stent 10 comprises a stent wall 21 having an
inner surface 22, an outer surface 24 and openings therein 23. The stent wall 21 is
grounded by a ground line so that it becomes electrically neutral. A potential is
applied to a conductive core wire 26 located axially through the geometric center
of the stent 10 to impart a positive electrical charge to the conductive core wire
26. The coating formulation is positively charged and sprayed from the nozzle
16 toward the stent
10. Because of its positive electrical charge, the sprayed coating formulation is attracted
to the grounded stent
10 and is deposited on the outer surface
24 and side portions of the openings
23 of the stent wall
21. Representative routes of the sprayed charged coating formulation are shown as the
arrows
28. The positively charged coating formulation does not enter the openings
23 due to the electrical repulsion of the positively charged core wire. Therefore, the
electrically charged coating formulation is deposited only on the outer surface
24 and the side portions of the openings
23 of the stent wall
21, and the inner surface
22 of the stent wall
21 is maintained substantially free of coating.
[0016] In an embodiment shown in Fig.
3, a stent
10 comprises a stent wall
21 having an inner surface
22, an outer surface
24 and openings therein
23. The stent wall
21 is grounded by a ground line so that it becomes electrically neutral. A conductive
core wire
26 located axially through the geometric center of the stent
10 is negatively charged. The coating formulation is positively charged and sprayed
from the nozzle
16 toward the stent
10. Because of its positive electrical charge, the sprayed coating formulation is attracted
to the grounded stent wall
21. Some of the coating formulation is deposited on the outer surface
24 of the stent wall
21, and some of the coating formulation passes through the openings
23. Representative routes of the coating formulation are shown as the arrows
38. When the electrically charged coating formulation enters the openings
23, it is accelerated by virtue of the electrical forces of attraction and are attracted
toward the conductive core wire
26. Therefore, the coating formulation is deposited only on the outer surface
24 of the stent wall
21, and the side portion of the openings
23 and the inner surface
22 of the stent are maintained substantially free of coating.
[0017] The embodiment shown in Fig.
4 is ilustrative of how the method of the invention can be used to control how much
coating is applied to the surface of a stent or a tubular wall. In this embodiment,
a stent
10 comprises a stent wall
21 having an inner surface
22, an outer surface
24 and openings therein
23. The stent wall
21 is positively charged although its electrical potential is not high. A conductive
core wire 26 located axially through the geometric center of the stent
10 is negatively charged. The coating formulation is positively charged and sprayed
from the nozzle
16 toward the stent
10. Because of its positive electrical charge, although the coating formulation is sprayed
toward the stent
10, it is repelled by the positively charged stent
10. Representative routes of the coating formulation are shown as the arrows
48. When the coating formulation enters the openings
23, the coating formulation is attracted to the negatively charged conductive core wire
16 as shown by arrows
47. Therefore, the coating formulation is not deposited either on the inner surface
22 or on the outer surface
24 of the stent wall
21, and the stent is maintained substantially free of coating. This embodiment may be
used to stop further coating formulation from being deposited, for example, when a
certain amount of coating has been reached. Also, this embodiment may be used to temporally
stop coating the device for a period without stopping a continuous stable output from
the nozzle.
[0018] In an embodiment shown in Figs. 6A and 6B, a stent 10 comprises a stent wall 21 having
an inner surface 22, an outer surface 24 and openings therein 23. The stent wall 21
is positively charged although its electrical potential is not high. A conductive
core wire 26 is located axially through the geometric center of the stent 10. The
coating formulation is positively charged and sprayed from the nozzle 16 toward the
stent 10. The electrical potential applied to the conductive core wire 26 is repeatedly
altematived between positive and negative as shown in the graph of Fig. 5. In Fig.
5, at first, the electrical potential of the conductive core wire is negative (State
A) for a certain period, and changes to positive (State B), and again changes to negative
(State A). States A and B are repeated in turn. Fig. 6A shows State A, wherein the
stent wall 21 is positively charged (the electrical potential is not high), and the
conductive core wire 26 is negatively charged. The coating formulation is positively
charged and sprayed from the nozzle 16 toward the stent 10. Because of its positive
electrical charge, although the coating formulation is sprayed toward the stent 10,
majority of particles or droplets are repelled by the positively charged stent 10
as shown arrows 68. When particles or droplets of the coating formulation enter in
the openings 23, the particles or droplets are attracted to the negatively charged
conductive core wire 16 as shown by arrows 67. Therefore, the coating formulation
are not deposited either on the inner surface 22 or on the outer surface 24 of the
stent wall 21, and the stent is maintained substantially free of coating.
[0019] Fig. 6B shows State B, wherein the stent wall 21 is still positively charged as in
State A, but the conductive core wire 26 is also positively charged. The electrical
potential of the conductive core wire 26 is higher than that of the stent wall 21.
The coating formulation is positively charged and sprayed from the nozzle 16 toward
the stent 10. Because of its positive electrical charge, although the coating formulation
is sprayed toward the stent 10, it is repelled by the positively charged stent 10
as shown by arrows 65. However, there is the coating formulation inside the stent
10 which was being attracted to but had not yet reached the then-negatively charged
conductive core wire 26 in State A. The coating formulation inside the stent
10 is repelled by the core wire
26, which is now positively charged, and the coating formulation is deposited on the
inner surface 22 of the stent wall
21 in State B. Therefore, in this embodiment, the coating formulation is deposited on
the inner surface
22, and the outer surface
24 of the stent wall
21 is maintained substantially free of coating. Skilled artisans can optimize the electrical
potentials (voltage) of the conductive core wire
26, the stent
10 and the coating formulation and the cycle (frequency) of the potential change to
adjust the amount of coating applied to the inner surface
22 of the stent wall
21. Generally, the time period of State A is longer than that of State B. The period
of State A is preferably long enough for sufficient amount of coating formulation
to enter in the stent wall
21 through the openings
23 but shorter than necessary for the coating formulation to reach the conductive core
wire
26. The period of State B is preferably not more than enough for substantially all coating
formulation inside the stent wall
21 to be deposited on the inner surface
22 of the stent wall
21.
[0020] Each embodiment of the method of the present invention explained above can be conducted
alone. The embodiment shown in Fig.
2 can be used to coat the outer surface and the side portions of the openings of a
stent wall. The embodiment shown in Fig.
3 can be used to coat the outer surface of a stent wall. The embodiment shown in Figs.
6A and
6B can be used to coat the inner surface of a stent wall.
[0021] Also, however, those embodiments may be combined, if desired. Particularly, the electrical
potential applied to the stent wall may be repeatedly alternated between neutral and
positive, and so may the electrical potential applied to the conductive core wire.
By adjusting the frequency of the alternation and each electrical potential (voltage),
it is possible to obtain any ratio of coating thickness on the inner surface, the
outer surface and the side portions of the openings of the stent wall by using a continuous
flow of sprayed coating formulation. For example, the following states may be employed
to coat the device. Each state is part of a cycle, which can be repeated. During each
of the states, the coating formulation remains positively charged:
- State A:
- The stent wall has a positive electrical charge, but the potential applied to it is
lower than that of the coating formulation. The conductive core wire has a negative
electrical charge. (See Fig. 6A)
- State B:
- The stent wall has a positive electrical charge, and the conductive core wire has
a positive electrical charge. The potential of the stent wall is lower than that of
the coating formulation and the conductive core wire. (See Fig. 6B)
- State C:
- The stent wall is grounded, and the conductive core wire has a positive electrical
charge. (See Fig. 2)
- State D:
- The stent wall is grounded, and the conductive core wire has a negative electrical
charge. (See Fig. 3)
- State E:
- The stent wall has a positive electrical charge, but the potential applied to it is
lower than that of the coating formulation. The conductive core wire has a negative
electrical charge. (See Fig. 4)
For example, arrangement of each electrical potential can be periodically switched
starting from State A and changed to B, C, D, E and returning to A. During the period
of States A-B, the coating formulation is deposited to the inner surface of the stent
wall. During the period of State C, the coating formulation is deposited to the outer
surface and side of the openings of the stent wall. Then, during the period of State
D, the coating formulation is deposited to the outer surface of the stent wall, and
during the period of State E, the coating formulation is not deposited to the stent
wall. To increase the amount of coating placed on the inner surface, the length of
time in States A+B should be increased. Likewise, to increase the amount of coating
placed on the outer surface, the period of time in States C+D should be increased.
[0022] Moreover, the coating formulation may be negatively charged instead of being positively
charged. If the coating formulation is negatively charged, then the stent is grounded
or negatively charged, and the electrical potentials of the conductive core wire explained
in the above embodiments are reversed.
[0023] Further, by adjusting time necessary for the coating formulation to reach to the
surface to be coated in the above embodiments, it is possible to control the wetness
of the coating formulation that arrive at a surface. The time can be adjusted by increasing
or decreasing the field strength, specifically the electrical potentials of the coating
formulation, the stent and the conductive core wire. If it takes longer for the coating
formulation to get from the nozzle to the surface, then the coating formulation is
dryer when it reaches the surface. If it takes less time for the coating formulation
to get from nozzle to the surface, then the coating formulation is wetter when it
reaches the surface. An appropriate wetness of the coating formulation must be chosen
to obtain a coating layer which has desired physical properties and desired release
profile of the biologically active material. For example, by choosing an appropriate
wetness of the coating formulation in liquid form, it is possible to control the coating
porosity. Such ability to control porosity is useful for preparing a coating for release
a biologically active material.
[0024] In embodiments of the method of the present invention, a stent can be coated with
a multiple coating layers of the same coating formulation. Such coating layers may
be made by using the above mentioned method repeatedly. The thickness of each coating
layer can be controlled as explained above. Also, the coating comprises various coating
layers of different coating formulations. Such different coating layers can be efficiently
made by using the present invention. For example, a first nozzle containing a first
coating formulation may be first used to coat the outer surface of a stent by the
above-mentioned embodiment of the method of the present invention, and then a second
nozzle containing a second coating formulation may be used to coat the outer surface
which is already coated with the first coating formulation. If desired, it is possible
to coat a surface with the first coating formulation and coat the other surface with
the second coating formulation which is different from the first coating formulation.
[0025] In addition to controlling the ratio of coating thickness on the inner surface, the
outer surface and the side portions of the openings of the stent wall, the coating
thickness along the longitudinal axis of a stent or a tubular wall can be controlled
by an embodiment of the method of the present invention. Referring to Fig.
7, a pair of deflector plates
72a and
72b are added to an embodiment of the present invention shown in Fig.
3. The pair of deflector plates are a first deflector plate
72a having a negative electrical charge and a second deflector plate
72b having a positive electrical charge, which are parallel to each other. The pair of
deflector plates
72a, 72b are placed parallel to the direction in which the coating formulation is sprayed
from the nozzle
16 toward the stent
10. The positively charged coating formulation is attracted to the negatively charged
deflector plate
72a and the course of the charged coating formulation is deflected toward the deflector
plate
72a as shown by arrow
77. However, the electrical potential between the deflector plates
72a and
72b is so small that a majority of particles or droplets of the coating formulation do
not contact the negatively charged deflector plate
72a. The distribution of the coating formulation on the stent wall
21 in its longitudinal direction can be controlled by using the deflector plates. For
example, a stent having a coating which covers only one edge or end section of the
stent can be obtained. If the potential is reversed, then the other edge or end section
will also be covered by the coating, and a stent having a thicker coating at both
end sections and thinner coating in the middle section can be obtained. The term "end
section" of the outer surface refers to that part of the surface which extends from
an end section or edge of a stent or a tubular wall up to about 25%, preferably from
about 3 % to about 20 % of the entire length of the outer surface. The term "middle
section" refers to the remainder of the outer surface that is surrounded by the end
sections as defined above.
[0026] When the potential is reversed, the coating formulation may be switched from the
first coating formulation to the second coating formulation so that a tubular wall
can have a different type of coating on its end sections. By using different electrical
potentials and varying the time such potentials are applied, sophisticated control
of the coating can be achieved. For example, coating only a horizontal belt-like portion
of the tubular wall or horizontal stripes of the tubular wall, is possible by adjusting
the potential between the pair of deflector plates and adjusting the position of the
deflector plates relative to the tubular wall.
[0027] When the electrical charge of the conductive core wire is opposite to that of the
sprayed coating formulation, the coating formulation can be deposited on the conductive
core wire in the method of the present invention. Since the coating formulation has
poor conductivity, the electrical potential of the wire becomes weaker as more coating
formulation accumulates on the wire. To prevent such weakening potential of the conductive
core wire, the wire is preferably kept substantially free from the coating formulation.
For example, a pair of bobbins can be used to feed new conductive core wire through
a stent as shown in Fig.
8. A first bobbin
82a on which a substantial length of conductive core wire is wound is one side of the
stent
10 and the conductive core wire
26 is passed axially through the stent
10 and the other end section of the conductive core wire
26 is connected to a second bobbin
82b. As a portion of the conductive core wire is constantly unwound from the first bobbin
82a and fed through the stent 10, the conductive core wire covered with the coating formulation
is removed and connected to the second bobbin
82b.
[0028] In one embodiment of the method of the present invention, a core wire made of a resistor
material is used instead of a conductive core wire, and a current is directed through
the wire. Since the potential of the core wire comprised of a resistor material is
a function of the longitudinal position along the core wire, more electrically charged
coating formulation is deposited on the portion of the surface of the tubular wall
that is closer to the part of the core wire having higher opposite potential to the
charged coating formulation. If two parallel core wires of resistor material are provided
in a stent wherein opposing currents are directed, a stent having thicker coating
at both end sections and thinner coating in the middle section can be obtained. A
pair of bobbins or a pair of deflector plates explained above can also be used for
core wires made of a resistor material.
[0029] Although the above embodiments of the method of the present invention are explained
using a stent as an example of a medical device having a tubular wall, the method
of the present invention can be used generally for coating at least a portion of a
surface of a medical device comprising a tubular wall having an inner surface and
an outer surface and openings therein. A preferable medical device is designed to
be inserted or implanted into the body of a patient. Such medical devices suitable
for the present invention include, but are not limited to, stents, vascular or other
grafts, and filters, such as blood filters.
[0030] Medical devices which are particularly suitable for the present invention include
stents, for example, vascular stents such as self-expanding stents and balloon expandable
stents. Stents suitable for the present invention include any stent for medical purposes,
which are known to the skilled artisans. Particularly the method of the present invention
is useful for coating stents having intricate surfaces. Examples of self-expanding
stents useful in the present invention are illustrated in
U.S. Patent Nos. 4,655,771 and
4,954,126 issued to Wallsten and
5,061,275 issued to Wallsten et al. Examples of appropriate balloon-expandable stents are shown in
U.S. Patent No. 5,449,373 issued to Pinchasik et al.
[0031] The medical devices suitable for the present invention may be fabricated from conductive
materials, such as conductive ceramic, polymeric and metallic materials. The surface(s)
of the medical devices to be coated using the process of the present invention should
be fabricated from conductive materials. Suitable metallic materials include metals
and alloys based on titanium (such as nitinol, nickel titanium alloys, thermo-memory
alloy materials), stainless steel, tantalum, nickel-chrome, or certain cobalt alloys
including cobalt-chromium-nickel alloys such as Elgiloy
® and Phynox
®. Metallic materials also include clad composite filaments, such as those disclosed
in
WO 94/16646. An example of a suitable ceramic is carbide. Polymers can be used to fabricate the
medical device when they are conductive. These include polymers filled with carbon-nanotubes.
Carbon-nanotubes are commercially available, e.g., from CARBOLEX. Only the surface
to be coated rather than entire medical device may be fabricated from a conductive
material.
[0032] The core wire can be made of a conductive material. The surface of core wire should
be conductive. Suitable conductive materials include those described materials for
the medical device. In an embodiment of the method of the present invention, the core
wire is made of a resistor material, such as carbon, a polymer filled with carbon
nanotubes.
[0033] Any spraying nozzle or spraying device that can spray coating formulation and create
particles or droplets of an appropriate size and of appropriate electrical charge
is useful for the method of the present invention. Examples of such spraying nozzle
are disclosed in
U.S. Patent No. 4,341,347 to DeVittorio,
U.S. Patent No. 4,004,733 to Law,
U.S. Patent 4,215,818 to Hopkinson, and
U.S. Patent No. 4,002,777 to Juvinall et al. One preferable example of a spraying nozzle that can be used in the method of the
invention is an apparatus for electrohydrodynamic spray-coating that is disclosed
in
U.S. Patent No. 4,749,125, to Escallon et al.
[0034] Coating formulations that are useful for the method of the present invention may
be a solution or a suspension comprises a polymeric material and solvent or may be
powder comprising a polymeric material. The polymeric material useful for forming
the coating formulation should be ones that are biocompatible and avoids irritation
to body tissue. Preferably the polymeric materials are biostable ones, such as polyurethanes,
silicones (
e.g., polysiloxanes and substituted polysiloxanes), and polyesters. Also preferable as
a polymeric material is styrene-isobutylene copolymers. Other polymers which can be
used include ones that can be dissolved and cured or polymerized on the medical device
or polymers having relatively low melting points that can be blended with biologically
active materials. Additional suitable polymers include, thermoplastic elastomers in
general, polyolefins, polyisobutylene, ethylene-alphaolefin copolymers, acrylic polymers
and copolymers, vinyl halide polymers and copolymers such as polyvinyl chloride, polyvinyl
ethers such as polyvinyl methyl ether, polyvinylidene halides such as polyvinylidene
fluoride and polyvinylidene chloride, polyacrylonitrile, polyvinyl ketones, polyvinyl
aromatics such as polystyrene, polyvinyl esters such as polyvinyl acetate, copolymers
of vinyl monomers, copolymers of vinyl monomers and olefins such as ethylene-methyl
methacrylate copolymers, acrylonitrile-styrene copolymers, ABS (acrylonitrile-butadiene-styrene)
resins, ethylene-vinyl acetate copolymers, polyamides such as Nylon 66, Nylon 12 and
polycaprolactone, alkyd resins, polycarbonates, polyoxymethylenes, polyimides, polyethers,
epoxy resins, rayon-triacetate, cellulose, cellulose acetate, cellulose butyrate,
cellulose acetate butyrate, cellophane, cellulose nitrate, cellulose propionate, cellulose
ethers, carboxymethyl cellulose, collagens, chitins, polylactic acid, polyglycolic
acid, polylactic acid-polyethylene oxide copolymers, EPDM (etylene-propylene-diene)
rubbers, fluorosilicones, polyethylene glycol, polysaccharides, phospholipids, combinations
of the foregoing.
[0035] More preferably for medical devices which undergo mechanical challenges, e.g. expansion
and contraction, the polymeric materials should be selected from elastomeric polymers
such as silicones (
e.g. polysiloxanes and substituted polysiloxanes), polyurethanes, thermoplastic elastomers,
ethylene vinyl acetate copolymers, polyolefin elastomers, and EPDM rubbers. Because
of the elastic nature of these polymers, the coating adheres better to the surface
of the medical device when the device is subjected to forces, stress or mechanical
challenge.
[0036] Furthermore, although the invention can be practiced by using a single type of polymer
to form the coating layer(s), various combinations of polymers can be employed. The
appropriate mixture of polymers can be coordinated with biologically active materials
of interest to produce desired effects when coated on a medical device in accordance
with the invention.
[0037] Coating formulations useful for the present invention may contain a nanocomposite
instead of or in addition to a polymeric material explained above. "Nanocomposite"
is a term of art that refers to a composition comprising a polymeric material and
relatively small amounts (generally less than about 10 % by weight) of nanometer-sized
(average size smaller than 1 micrometer) mineral clay or nanosized ceramic particles
dispersed therein. Sometimes nanocomposites are refered to as "nanoclay" or "nanoceramic".
For example, nanocomposites are disclosed in
WO 931014118,
U.S. Patent Nos. 5,385,776, and
6,251,980.
[0038] Solvents suitable for forming the coating formulation are ones which can dissolve
the polymeric material into solution or form dispersions of the polymeric material
in the solvent. Any solvent which does not alter or adversely impact the therapeutic
properties of the biologically active material can be employed in the method of the
present invention. Examples of useful solvents include tetrahydrofuran, chloroform,
toluene, acetone, isooctane, 1,1,1,-trichloroethane, and mixture thereof. Preferably,
chloroform or tetrahydrofuran is used as the solvent in the method of the present
invention.
[0039] Coating formulations useful for the present invention that are in powder form can
comprise a polymeric material as explained above. The powder is preferably comprised
of particles having an average diameter from about 0.5 µm to about 250 µm. Generally,
the resulting surface of the coating is smoother when the powder of the coating formulation
used for the coating has a smaller average particle size. After the spray-coating
step using the powder coating formulation, the tubular wall coated with the powder
coating formulation is heat-treated, for example using IR heating.
[0040] Even when the coating formulation used for the present invention contains a solvent,
it is possible to control the process to dry the sprayed coating formulation before
they reach the tubular wall of the medical device by controlling the method as explained
earlier. In this manner, results similar to those of the process using dry-powder
coating formulation can be obtained by using the coating formulation containing a
solvent.
[0041] Coating formulations useful for the method of the present invention may also comprise
a biologically active material. The term "biologically active material" encompasses
therapeutic agents, such as drugs, and also genetic materials and biological materials.
The genetic materials mean DNA or RNA, including, without limitation, of DNA/RNA encoding
a useful protein stated below, anti-sense DNA/RNA, intended to be inserted into a
human body including viral vectors and non-viral vectors. Examples of DNA suitable
for the present invention include DNA encoding
- anti-sense RNA
- tRNA or rRNA to replace defective or deficient endogenous molecules
- angiogenic factors including growth factors, such as acidic and basic fibroblast growth
factors, vascular endothelial growth factor, epidermal growth factor, transforming
growth factor α and β, platelet-derived endothelial growth factor, platelet-derived
growth factor, tumor necrosis factor α, hepatocyte growth factor and insulin like
growth factor
- cell ccle inhibitors including CD inhibitors
- thymidine kinase ("TK") and other agents useful for interfering with cell proliferation,
and
- the family of bone morphogenic proteins ("BMP's") as explained below. Viral vectors
include adenoviruses, gutted adenoviruses, adeno-associated virus, retroviruses, alpha
virus (Semliki Forest, Sindbis, etc.), lentiviruses, herpes simplex virus, ex vivo
modified cells (e.g., stem cells, fibroblasts, myoblasts, satellite cells, pericytes, cardiomyocytes,
sketetal myocytes, macrophage), replication competent viruses (e.g., ONYX-015), and hybrid vectors. Non-viral vectors include artificial chromosomes
and mini-chromosomes, plasmid DNA vectors (e.g., pCOR), cationic polymers (e.g., polyethyleneimine, polyethyleneimine (PEI)) graft copolymers (e.g., polyether-PEI and polyethylene oxide-PEI), neutral polymers PVP, SP1017 (SUPRATEK),
lipids or lipoplexes, nanoparticles and microparticles with and without targeting
sequences such as the protein transduction domain (PTD).
[0042] The biological materials include cells, yeasts, bacteria, proteins, peptides, cytokines
and hormones. Examples for peptides and proteins include growth factors (FGF, FGF-1,
FGF-2, VEGF, Endotherial Mitogenic Growth Factors, and epidermal growth factors, transforming
growth factor α and β, platelet derived endothelial growth factor, platelet derived
growth factor, tumor necrosis factor α, hepatocyte growth factor and insulin like
growth factor), transcription factors, proteinkinases, CD inhibitors, thymidine kinase,
and bone morphogenic proteins (BMP's), such as BMP-2, BMP-3, BMP-4, BMP-5, BMP-6 (Vgr-1),
BMP-7 (OP-1), BMP-8. BMP-9, BMP-10, BMP-11, BMP-12, BMP-13, BMP-14, BMP-15, and BMP-16.
Currently preferred BMP's are BMP-2, BMP-3, BMP-4, BMP-5, BMP-6, BMP-7. Alternatively
or in addition, molecules capable of inducing an upstream or downstream effect of
a BMP can be provided. Such molecules include any of the "hedgehog" proteins, or the
DNA's encoding them. These dimeric proteins can be provided as homodimers, heterodimers,
or combinations thereof, alone or together with other molecules. Cells can be of human
origin (autologous or allogeneic) or from an animal source (xenogeneic), genetically
engineered, if desired, to deliver proteins of interest at the transplant site. The
delivery media can be formulated as needed to maintain cell function and viability.
Cells include whole bone marrow, bone marrow derived mono-nuclear cells, progenitor
cells (
e.g., endothelial progentitor cells) stem cells (e.g., mesenchymal, hematopoietic, neuronal),
pluripotent stem cells, fibroblasts, macrophage, and satellite cells.
[0043] Biologically active material also includes non-genetic therapeutic agents, such as:
- anti-thrombogenic agents such as heparin, heparin derivatives, urokinase, and PPack
(dextrophenylalanine proline arginine chloromethyllcetone);
- anti-proliferative agents such as enoxaprin, angiopeptin, or monoclonal antibodies
capable of blocking smooth muscle cell proliferation, hirudin, and acetylsalicylic
acid, amlodipine and doxazosin;
- anti-inflammatory agents such as glucocorticoids, betamethasone, dexamethasone, prednisolone,
corticosterone, budesonide, estrogen, sulfasalazine, and mesalamine;
- immunosuppressants such as sirolimus (RAPAMYCIN), tacrolimus, everolimus and dexamethasone,
- antineoplastic/antiproliferative/anti-miotic agents such as paclitaxel, 5-fluorouracil,
cisplatin, vinblastine, vincristine, epothilones, methotrexate, azathioprine, halofuginone,
adriamycin, actinomycin and mutamycin; endostatin, angiostatin and thymidine kinase
inhibitors, and its analogs or derivatives;
- anesthetic agents such as lidocaine, bupivacaine, and ropivacaine;
- anti-coagulants such as D-Phe-Pro-Arg chloromethyl keton, an RGD peptide-containing
compound, heparin, antithrombin compounds, platelet receptor antagonists, anti-thrombin
anticodies, anti-platelet receptor antibodies, aspirin (aspirin is also classified
as an analgesic, antipyretic and anti-inflammatory drug),dipyridamole, protamine,
hirudin, prostaglandin inhibitors, platelet inhibitors and tick antiplatelet peptides;
- vascular cell growth promotors such as growth factors, Vascular Endothelial Growth
Factors (FEGF, all types including VEGF-2), growth factor receptors, transcriptional
activators, and translational promotors;
- vascular cell growth inhibitors such as antiproliferative agents, growth factor inhibitors,
growth factor receptor antagonists, transcriptional repressors, translational repressors,
replication inhibitors, inhibitory antibodies, antibodies directed against growth
factors, bifunctional molecules consisting of a growth factor and a cytotoxin, bifunctional
molecules consisting of an antibody and a cytotoxin;
- cholesterol-lowering agents; vasodilating agents; and agents which interfere with
endogenous vasoactive mechanisms;
- anti-oxidants, such as probucol;
- antibiotic agents, such as penicillin, cefoxitin, oxacillin, tobranycin
- angiogenic substances, such as acidic and basic fibrobrast growth factors, estrogen
including estradiol (E2), estriol (E3) and 17-Beta Estradiol; and
- drugs for heart failure, such as digoxin, beta-blockers, angiotensin-converting enzyme
(ACE) inhibitors including captopril and enalopril.
[0044] Also, the biologically active materials of the present invention include nitric oxide
adducts, which prevent and/or treat adverse effects associated with use of a medical
device in a patient, such as restenosis and damaged blood vessel surface. Typical
nitric oxide adducts include nitroglycerin, sodium nitroprusside, S-nitroso-proteins,
S-nitroso-thiols, long carbon-chain lipophilic S-nitrosothiols, S-nitrosodithiols,
iron-nitrosyl compounds, thionitrates, thionitrites, sydnonimines, furoxans, organic
nitrates, and nitrosated amino acids, preferably mono-or poly-nitrosylated proteins,
particularly polynitrosated albumin or polymers or aggregates thereof. The albumin
is preferably human or bovine, including humanized bovine serum albumin. Such nitric
oxide adducts are disclosed in
U.S. Patent No. 6,087,479 to Stamler et al, which is incorporated herein by reference.
[0045] A biologically active material may be encapsulated in micro or nano-capsules by the
known methods.
[0046] The biologically active material can be used with (a) biologically non-active material(s)
including a carrier or an excipient, such as sucrose acetate isobutyrate (SABER
™ commercially available from SBS) ethanol, n-methyl pymolidone, dimethyl sulfoxide,
benzyl benxoate, benzyl acetate, albumine, carbohydrate, and polysacharide. Also,
nanoparticles of the biologically active materials and non-active materials are useful
for the coating formulation of the present invention.
[0047] The description contained herein is for purposes of illustration and not for purposes
of limitation. Changes and modifications may be made to the embodiments of the description
and still be within the scope of the invention. Furthermore, obvious changes, modifications
or variations will occur to those skilled in the art. Also, all references cited above
are incorporated herein, in their entirety, for all purposes related to this disclosure.
1. A method for coating a medical device comprising a tubular wall having an inner surface,
an outer surface and openings therein, wherein the method comprises:
(a) grounding or electrically charging the tubular wall;
(b) providing a conductive core wire located axially through the tubular wall;
(c) applying a potential to the conductive core wire to impart an electrical charge
to the conductive core wire;
(d) exposing the tubular wall to an electrically charged coating formulation; and
(e) depositing the coating formulation onto a portion of the tubular wall to form
a coating on the tubular wall.
2. The method of claim 1, wherein the coating formulation comprises a polymeric material
and a solvent.
3. The method of claim 1, wherein the tubular wall is grounded, and the conductive core
wire and the coating formulation have the same electrical charge.
4. The method of claim 3, wherein the electrical charge of the coating formulation and
the electrical charge of the conductive core wire are adjusted so that the charged
coating formulation are deposited on the outer surface of the tubular wall and the
inner surface remains substantially free of the charged coating formulation.
5. The method of claim 1, wherein the tubular wall is grounded, and the conductive core
wire has an electrical charge opposite that of the coating formulation.
6. The method of claim 1, wherein the tubular wall comprises a geometric center, and
the conductive core wire is located axially through the center of the tubular wall.
7. The method of claim 1, wherein the potential applied to the conductive core wire is
pulsated to cyclically impart a positive electrical charge to the conductive core
wire followed by a negative electrical charge.
8. The method of claim 7, wherein a positive electrical charge imparted to the conductive
core wire is for a shorter duration than the negative electrical charge imparted to
the conductive core wire.
9. The method of claim 1, wherein the conductive core wire is kept substantially free
of the charged coating formulation.
10. The method of claim 1, wherein the conductive core wire has two ends and one end of
the conductive core wire is connected to a first bobbin and the other end is connected
to a second bobbin, wherein the conductive core wire is fed from the first bobbin
through the stent, and wherein the conductive core wire covered with the coating formulation
is removed from the stent by being connected to the second bobbin.
11. The method of claim 1, which further comprises directing the charged coating formulation
by providing (a) a first deflector plate having a positive electrical charge and a
second deflector plate having a negative electrical charge, which are placed parallel
to each other and (b) applying the charged coating formulation between the plates.
12. The method of claim 7, wherein the coating formulation have a positive electrical
charge, and an electrical potential applied to the tubular wall is repeatedly alternated
between grounded and positively charged to deposit a desired amount of the coating
formulation on each portion of the tubular wall.
13. A method for coating a medical device comprising a tubular wall having an inner surface,
an outer surface and openings therein, wherein the method comprises:
(a) grounding or electrically charging the tubular wall;
(b) providing a first core wire comprising a resistor material located axially through
the tubular wall;
(c) directing a current through the first core wire;
(d) creating an electrically charged coating formulation; and
(e) depositing the coating formulation onto the tubular wall to form a coating on
the tubular wall.
14. The method of claim 13, wherein the coating formulation comprises a polymeric material
and a solvent.
15. The method of claim 13, wherein the tubular wall comprises two end sections and wherein
a greater amount of coating formulation is applied to one end section than the other.
16. The method of claim 13, which further comprises providing a second core wire comprising
a resistor material through the stent wherein the second core wire is parallel to
the first core wire; and directing second current through the second core wire in
a direction opposite the first current.
17. The method of claim 13, wherein the first core wire is kept substantially free of
the coating formulation.
18. The method of claim 13, wherein the first core wire comprising two ends and one end
of the first core wire is connected to a first bobbin and the other end is connected
to a second bobbin, wherein the first core wire is fed from the first bobbin through
the stent, and wherein the first core wire covered with the coating formulation is
removed from the stent by being connected to the second bobbin.
19. A method for coating at least a portion of a stent, wherein the stent comprises a
stent wall having an inner surface, an outer surface and openings therein, wherein
the method comprises:
(a) grounding or electrically charging the stent wall;
(b) providing a conductive core wire located axially through the stent;
(c) applying a potential to the conductive core wire to impart an electrical charge
to the conductive core wire;
(d) exposing the stent to an electrically charged coating formulation; and
(e) depositing the charged coating formulation onto the stent portion to form a coating
on the portion.
20. The method of claim 19, wherein the coating formulation comprises a polymeric material
and a solvent.